101.14.03 ADULTS

Official source

Adults generally have no protected period of eligibility. Changes in income and other circumstances can impact an adult’s eligibility as such changes occur. However, women eligible solely due to pregnancy in any COE program are provided coverage from their first eligible month through the post-partum months regardless of any subsequent changes in income, household composition, etc. This includes women whose eligibility originated in a non- pregnancy related coverage group, such as QMB or Family Planning, who are determined eligible for any COE and transition to any COE for coverage of pregnancy related services for the duration of her pregnancy and post-partum months. In such instances, eligibility must be reviewed for the impact of any changes in circumstances after transitioning back to her original coverage group.

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101.14.03 ADULTS

Official source

Adults generally have no protected period of eligibility. Changes in income and other circumstances can impact an adult’s eligibility as such changes occur. However, women eligible solely due to pregnancy in any COE program are provided coverage from their first eligible month through the post-partum months regardless of any subsequent changes in income, household composition, etc. This includes women whose eligibility originated in a non- pregnancy related coverage group, such as QMB or Family Planning, who are determined eligible for any COE and transition to any COE for coverage of pregnancy related services for the duration of her pregnancy and post-partum months. In such instances, eligibility must be reviewed for the impact of any changes in circumstances after transitioning back to her original coverage group.